Chiratidzo chakaonekwa mukurwara kwekutanga uye gare gare-chirwere chirwere
Chimwe chezviratidzo zvinowanzozivikanwa zveHIV is lymphadenopathy, kurira kwemakirini nhengo mumarmpits (axillary nodes), kubereka (inguinal nodes), mutsipa (cervical nodes), chifu (mediastinal nodes), uye mimba (mazamu emimba).
Kunyange zvazvo kuvhara kunogona kuwirirana zvakananga neHIV, kunyanya mumatanho ekutanga, inogonawo kuva mugumisiro wehutachiona hweHIV-uye husina hutachiwana hweHIV mune zvirwere zvinotevera.
Anatomy yeLymph Nodes
Lymph nodes iduku, nhengo dzebhanhire dzakaparadzirwa mumuviri wose uri chikamu chemuviri wechirwere chemuviri. Lymph, yakajeka-ku-white fluid ine utachiona-kurwisa maune immune masero, inonatswa kuburikidza nemakirini emakristini kuburikidza neukambani kadiki kakakura. Icho chiri munharaunda iyo lymph inocheneswa isati yadzokera mukati mokupararira.
I lymphatic system inosanganisira kwete lymph nodes chete asi spleen, thyroid, toni, adenoids, uye tyminiid tishu.
Zvinokonzera Lymphadenopathy
Lymphadenopathy inoratidza chiratidzo chekutanga kweHIV uye chimwe chezviitiko zvakawanda zvekare zvinokonzera zvirwere ( OIs) . Icho hachisi chiratidzo chekuvhiringidza kana chirwere asi pane zvinoratidza kugadzirisa kwakasimba kubva mumuviri wesimba.
Mumazuva ekutanga utachiona hwehutachiona , sezvo lymph inopfuura nepine lymph nodes, mauto akawanda ezvirwere zvemumune uye mamwe mishonga inotanga kuunganidzwa mukati meganda. Izvi zvinogona kukonzera kuti hurongwa hubudirire zvakare, zvichiita kuti node idzi dzize, dzimwe nguva kuti dzisaonekwe.
Lymphadenopathy inogona kuitika mune imwe kana zvikamu zvakawanda zvemuviri, iyo iyo inogona kutiudza zvakawanda pamusoro pezvinoitika.
- Localized lymphadenopathy ndiko kupfurikidza kwemakirini nhengo dzomuviri, zvichida nekuda kwehutachiona hwepedyo. Mienzaniso inosanganisira hutachiona hwehuroti hunokonzera kupfupa kwemakwenzi echiberekeri kana chirwere chechlamydial chinokonzera kupfugama kwemasuinal inguinal.
- Generalized lymphadenopathy ndiyo yakawanda yokuputika kwemakirini nhengo dzomuviri wose, zvichireva kuronga kweutachiona, hutachiona hwemuviri-hunofanana nehutachiona , hutachiona hunotapukisa mononucleosis , tuberculosis, toxoplasmosis , leukemia, uye, zvechokwadi, HIV.
- Kupfurikidza generalized lymphadenopathy (PGL) chimiro chinopfuurira, kazhinji pasina chikonzero chaicho. Inowanzova chiratidzo chekusatenda kusingaperi kusinganzwisisiki sehepatitis neHIV. PGL inogona kuramba ichiita kwemwedzi kana kunyange makore.
Dzimwe nguva lymph nodes ivo vanogona kupisa uye vane utachiona. Izvi zvinowanzotumidzwa se lymphadenitis.
Zviratidzo zveLymphadenopathy
Kudzora lymph nodes kunogona kana kusingaoneki. Muzvokwadi, kusagadzikana uye kurwadziwa zvinowanzova zviratidzo zvekutanga zve lymphadenopathy mushure mekunyengera kunotanga. Kunyange kana zvisiri pachena, iwe unogona kazhinji kunzwa mazamu akawedzerwa pasi pembambo, kumativi ose pamutsipa, shure kwekunze, kana mukunaya.
Mune zvimwe zviitiko, iwe unganzwa usiri imwe, node yakakura. Pane dzimwe nguva, pangava neboka rezvinyunguduru zvezvimba zvinowanikwa pazvikamu zvakawanda zvemuviri.
Kunyange zvazvo lymph nodes inowanzova yakaoma uye inorwadza, dzimwe nguva inogona kusuruvara zvachose. Ganda rinopfigira nodes rinogonawo kuva rakatsvuka uye rinotonhora kumubata.
Fivhiri inogona kuenda pamwe chete, kunyanya panguva yehutachiona hwakaoma.
Kurapa Lymphadenopathy
Kune vanhu vane HIV, yekutanga uye yepamusoro nzira yekurapa lymphadenopathy ndiyo antiretroviral therapy . Nokudzivisa zvachose HIV kuti irege kuonekwa yakaoma , mafungiro emakirini ane nhengo dzinogona kuderedzwa zvikuru. Lymphadenopathy inowanzopera mukati memavhiki mashomanana kana mwedzi kamwe chete chirwere chinotanga.
Kunyange kana lymphadenopathy inokonzerwa neOI, chirwere chinorwisa mahara chinoramba chichitaridzika. Nokubata neII pavanodzvinyirira HIV nemishonga inorwisa maitiro ekurwisa, munhu achamira mukana wakanaka kwazvo wekudzorera zvirwere zvekuzvidzivirira uye kudzivirira zvirwere zvenguva yemberi.
Kana chirwere chinonzi lymphadenopathy chiri chinorwadza zvikuru, inopfuura-the-counter- nonsteroidal anti-inflammatory drug (NSAID) yakadai se ibuprofen inogona kubatsira. Izvi, pamwe chete nemhepo inodziya, inogona kubatsira kuderedza kusuruvara kana kupfugama.
> Kwakabva:
> Cainelli, F .; Vallone, C .; Tanko, M. et al. "Lymph nodes uye pathogenesis yehutachiona neHIV-1." Lancet Infectious Diseases. 2015; 10 (2): 71-72.